Safety of protease inhibitors and Arbidol for SARS-CoV-2 pneumonia in Zhejiang Province, China

J Zhejiang Univ Sci B. 2020;21(12):948-954. doi: 10.1631/jzus.B2000204.

Abstract

The aim of this study was to evaluate the safety of an antiviral regimen of protease inhibitors combined with Arbidol (umifenovir) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia patients. The genomic sequence of SARS-CoV-2 is highly homologous to that of SARS-CoV (Zhou et al., 2020). Previously published basic and clinical research on anti-SARS-CoV treatment found that lopinavir/ritonavir (LPV/r) could improve the prognosis of SARS patients (Chan et al., 2003; Chu et al., 2004). Darunavir (DRV) is another protease inhibitor that blocks the binding of SARS-CoV-2 to human angiotensin-converting enzyme 2 (Omotuyi et al., 2020). The broad-spectrum antiviral drug Arbidol (umifenovir) also shows in vitro anti-SARS-CoV activity (Khamitov et al., 2008).

Keywords: SARS-CoV; Lopinavir; Darunavir; Pneumonia; Lipid metabolism.

MeSH terms

  • Adult
  • COVID-19 Drug Treatment*
  • China
  • Darunavir
  • Drug Combinations
  • Female
  • Humans
  • Indoles / adverse effects
  • Indoles / therapeutic use*
  • Lipid Metabolism
  • Lopinavir
  • Male
  • Middle Aged
  • Protease Inhibitors / adverse effects
  • Protease Inhibitors / therapeutic use*
  • Retrospective Studies
  • Ritonavir
  • SARS-CoV-2 / drug effects
  • SARS-CoV-2 / genetics

Substances

  • Drug Combinations
  • Indoles
  • Protease Inhibitors
  • lopinavir-ritonavir drug combination
  • Lopinavir
  • umifenovir
  • Ritonavir
  • Darunavir